Simone Liberty O'Donovan, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33 341306 Issued in NY

Practice address

26 Rutledge Ave
Highland Mills, NY 10930-5101

Phone

(201) 638-4128

NPI assigned

Feb 26, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.92 of 100Reported as group

Quality

68.46

Promoting interoperability

99

Improvement activities

40

Cost

77.61

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: simone.odonovan@mmpc.eclinicaldirectplus.com
• Direct secure messaging: slo9001@direct.nyp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Middletown Medical PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1902855828
  Medicare reassignment Care Compare group NPD
• Cogent Medical Care PC

  • Internal Medicine Physician
  • East Patchogue, NY
  • NPI 1912941238
  Medicare reassignment NPD
• Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1174201529
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488067200000",
    "number": "1861932717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RUTLEDGE AVE",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305101",
            "telephone_number": "201-638-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RUTLEDGE AVE",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305101",
            "telephone_number": "201-638-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONOVAN",
        "first_name": "SIMONE",
        "middle_name": "LIBERTY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2017-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 341306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa S Moskowitz, RN
• Claudia Marcela Mosquera Echeverry
• Sandra Mubang, LMSW
• Lorraine E. Murphy, LPC, LCAT
• Meghan M Murphy, COTA
• Occupational Therapy and Learning Services, PLLC
• Victoria Sarah Pavlovic, L-SLP
• Pediatric OT Solutions
• Evelyn D Peguero
• Sara Pellerin, OTR/L

• Family Nurse Practitioner in Highland Mills, NY
• Providers in Highland Mills, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.